Individual
MRS. SHARI ANN PITTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17 1ST ST, FARMINGVILLE, NY 11738
(631) 880-7585
Mailing address
17 1ST ST, FARMINGVILLE, NY 11738-2301
(631) 880-7585
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00691-1
COTA LICENCE NUMBER
NY
Enumeration date
09/22/2010
Last updated
08/08/2018
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